Individual
STACEY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
(770) 425-8275
Mailing address
1627 PARK LN, MARIETTA, GA 30066-6111
(470) 782-3020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008771
GA
101YP2500X
Professional Counselor
APC008771
GA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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